Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2013003399 | MO |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | Q5152 | TX |
NPI | 1942462346 |
---|---|
Provider Name | Dr. Kathryn Leigh Bauer |
First Address | Plano, TX 75024-0238 |
Second Address | Plano, TX 75024-0238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 19/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q5152 | STATE MEDICAL LICENSE (01) | TX |